Whalio Doctors

NPI 1093195596

Meijer Stores Limited Partnership

Organisation Community/Retail Pharmacy Wauwatosa, WI

Practice location

Address
11111 W Burleigh St, Wauwatosa, WI 53222-3211
Phone
(414) 290-0910
Fax
(414) 256-4765
Mailing address
2929 Walker Ave NW, Grand Rapids, MI 49544-6402

Authorised official

Name
Jason Beauch
Title
Director of Pharmacy Managed Care
Phone
(616) 791-3169

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1093195596
Entity type
Organization
NPI issued
1 Jun 2015
Record last updated
1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.